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A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Fever and diarrhea

Abdominal distension and flatulence

Nausea and vomiting

Sudden-onset severe abdominal pain and tenderness

Answer and Explanation

The Correct Answer is D

Choice A reason:

Fever and diarrhea are not specific early signs of peritonitis.

Choice B reason:

Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.

Choice C reason:

Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.

Choice D reason:

Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.

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Correct Answer is B

Explanation

Choice A reason:

Bradycardia is not a concerning finding in this context and may indicate a vagal response or be a side effect of certain medications.

Choice B reason:

Hypotension is a concerning finding and may indicate hypovolemic shock, a potentially life-threatening complication of peritonitis.

Choice C reason:

Hyperactive bowel sounds are not a concerning finding in this context and may be a sign of gastrointestinal motility.

Choice D reason:

Increased urine output may be a positive finding but does not directly relate to the development of hypovolemic shock.

A. Hypothyroidism B. Chronic kidney disease C. Migraine headaches D. Gastroesophageal reflux disease (GERD)

Correct Answer is B

Explanation

Choice A reason:

Hypothyroidism is not a risk factor for peritonitis.

Choice B reason:

Chronic kidney disease can weaken the immune system and make the client more susceptible to infections such as peritonitis.

Choice C reason:

Migraine headaches are not a risk factor for peritonitis.

Choice D reason:

GERD is not a risk factor for peritonitis.

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A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

Correct Answer is B

Explanation

A nurse is caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?

Correct Answer is B

Explanation

A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

A client with cirrhosis is admitted to the hospital with suspected peritonitis. The nurse understands that cirrhosis is a significant risk factor for peritonitis due to:

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?

A client with peritonitis reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

A client with suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves: